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seaside homes. In this way the Invalid Children's Aid Association has
been engaged in a most beneficent work, which has enabled a considerable
number of children to recover from lengthy illnesses, and has restored
them to a condition of health, which would have been impossible under
existing conditions without the Association's timely help and assistance.
Of 64 cases of non-pulmonary tuberculosis entered in the register, 26
were cervical gland cases, 21 of which were children under 15 years of
age; 10 were hip cases, 5 of which were 15 years or under; 8 were
spinal cases, all being 15 or under; 5 were cases of peritoneal tuberculosis,
4 being 15 or under; 3 were leg cases; 3 were skin cases; 3 were
generalised tuberculosis; and 2 each were arm cases and bronchial glaud
cases. It is evident that the tubercular infection of the lymphatic glands
of the neck is by far the most common form of non-pulmouary tuberculosis.
In these cases there can be little doubt that the route of entry
of infection is by means of the tonsils; but whether the infection is airborne
or conveyed in food by means principally of tubercle-infected cow's
milk, is still a matter sub judice. There can, however, be little question
that the unhealthy conditions of the tonsils and naso-pharyngeal cavities,
so largely prevailing amongst the children of the poorer classes, must form
a strong predisposing factor to the lodgment of the tubercle bacillus in the
tonsils, and its subsequent invasion of the cervical glands.
A scheme for the establishment of a Tuberculosis Dispensary for the
Borough of Chelsea in connection with the Brompton Hospital for Consumption
has been formulated and approved by the Borough Council, and
is set out below. The scheme now only awaits the approval of the
London County Council to come into operation ; and it may be expected
to be in working order about the beginning of June, 1914.
21st November, 1913.
Scheme for a Tuberculosis Dispensary foe the Metropolitan
Borough of Chelsea.
Tho Brompton Hospital for Consumption is prepared to make special
arrangements to act as a tuberculosis dispensary for the examination and
treatment of patients from the Borough of Chelsea.
The Committee of the Brompton Hospital are prepared to appoint
a junior member of the Visiting Staff of Physicians of the Hospital as
Tuberculosis Officer for Chelsea, and suggests that the remuneration of
the Tuberculosis Officer should be at the rate of £150 per annum. It is
proposed to enter into similar arrangements with the Boyal Borough of
Kensington for the Hospital to act as a Tuberculosis Dispensary for
South Kensington patients, as have been arranged for Chelsea patients.
The Tuberculosis Officer appointed by the Committee of the
Brompton Hospital undertakes to work in close co-operation with the
Medical Officer of Health of Chelsea, and to perform such duties as may
be required by the Local Government Board under the special circumstances
of the case, such duties to include (1) attendance at meetings of